HomeMy WebLinkAbout06010017-ApplicationPROPERTY
OWNER:
Permit #:
RESIDENTIAL APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NA~E
PHONE
STREET ADDRESS
STAll~ ZIP
LOT # /' SUBDMSION NAME
& PRO3ECT 4 ~ SECllON /
INFO: ADDRESS OF CONSTRUCTION
PROVIDER: ~-----~ f~ ~ 0 PROVIDER:
L~
ZONING:
[] TOWN HOME
[] TWO FAMILY
# of units:
E~ MULTI-FAMILY
# of Units:
[] RESIDENTIAL (~r
Additions, Remodels, Etc.)
P -- .N _ , -_-':
EaHy Release
Permit:
Lot Split:
Does any part of the property lie within a
~.j~ NEW STRUCTURE
ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
[] AVl'ACHED GARAGE
[] DEMOUT~ON
~-~Y N
Y N
Which plumbing codes will be applied to the construction:
Uniform Plumbing Code w/Indiana Amendments
(MulU-Family Constru~on Code)
~.~.~L~: (Check all that apply for the new
cons~ucfion area)
[] CRAWLSPACE [] POST & BEAM
~- ~ LZ-289) ~d ~, adopt~ und~ au~od~ of i.C, 36.7 er scq, G~ ~embly of ~e S~te (
· ~em, I ~h~ c~ ~t o~y ~tch~, ba~, ~d fl~r ~s ~e co~red to ~e s~t~ s~.1 ~h~ ce~ t~t the cons~c~on~t°~ not ~
~[~c~cy~ ~ i~u~ by ~ent of Co~um~ Se~c~, ~d, India,
OF~E[ ~$[ ONLY: **********************
INSPE~ONS ~QUI~D: Filing ~: ~ ~ O
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
Charged Re-
Reviews
AddiUonal Fees